Provider Demographics
NPI:1801917646
Name:LANGSTON, WILLIAM BROOKS III
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BROOKS
Last Name:LANGSTON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3635 N. BELTLINE ROAD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SUNNYVALE
Mailing Address - State:TX
Mailing Address - Zip Code:75182
Mailing Address - Country:US
Mailing Address - Phone:972-270-6533
Mailing Address - Fax:972-270-6578
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY
Practice Address - Street 2:SUITE 625
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5600
Practice Address - Country:US
Practice Address - Phone:972-270-6533
Practice Address - Fax:972-270-6578
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice